Sen. Ron Wyden Town Hall Participation Form
Live video participation in this virtual town hall on June 15 is limited to residents of Jackson, Josephine, Klamath, and Lake counties in Oregon.

All are welcome to view the town hall and all Oregonians are welcome to submit live questions via Facebook comments.

Contact for more information.
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Name *
Email *
Phone number *
County *
City *
Zip code *
Current occupation / phase of life (e.g. "transit worker," "student," "retired," "unemployed," "caring for elderly family member")
Issue you'd like to ask about. (We are *not* screening questions apart from those not appropriate or relevant, and to avoid multiple questions on the same topic) *
Have you used Zoom before?
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Are you available between 10:30am and Noon Pacific on Monday June 15? *
Can you agree to the following statement: "I am a resident of the county indicated above. If invited to participate in the virtual town hall I will engage in a respectful and appropriate dialogue." *
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